Weaning from Mechanical Ventilation A State-of-the-Art Approach

This book provides a broad, detailed, and up-to-date approach to weaning from mechanical ventilation, offering readers insights into basic physiology, ventilation modes, and the spontaneous breathing test. It also delves into modern tools such as ultrasound, inspiratory muscle training, and AI applications in weaning. Additionally, it covers non-invasive mechanical ventilation, sedation, and weaning in special populations, including patients with COPD, cardiopathy, neurological conditions, and those affected by COVID-19.

Key concepts explored include the physiological underpinnings of weaning, the latest advancements in ventilation technology, and the integration of physiotherapy techniques. The book addresses critical questions such as how to optimize weaning protocols and improve patient outcomes. Contributions from experienced practitioners and scholars provide a thorough analysis of current practices and emerging trends, making this book a must-read for those seeking to enhance their understanding and skills in critical care.

Weaning from Mechanical Ventilation – A State-of-the-Art Approach is an indispensable resource for physicians, physiotherapists, respiratory therapists, nurses, and anyone involved in the management of patients requiring mechanical ventilation. It is designed to equip healthcare professionals with the knowledge needed to improve patient outcomes and enhance critical care practice.

Chapter 1. Principles of Mechanical Ventilation.- Chapter 2. Principles of Weaning from Invasive Mechanical Ventilation.- Chapter 3. The Epidemiology of Weaning from Mechanical Ventilation.- Chapter 4. Sedation and Weaning.- Chapter 5. Predictors of Weaning Outcome.- Chapter 6. Weaning in Patients with Chronic Obstructive Pulmonary Disease (COPD).- Chapter 7. Weaning in Cardiac Patients.- Chapter 8. Weaning in Neurological Patients.- Chapter 9. The use of NIV and HFNC in the Weaning.- Chapter 10. Ultrasound and Weaning.- Chapter 11. Weaning from Non-Invasive Ventilation.- Chapter 12. Weaning-Induced Cardiac Failure.- Chapter 13. Pathophysiology and Management of Weaning and Extubation Failure.- Chapter 14. Intensive Care Unit-Acquired Weakness (ICU-AW) and Weaning.- Chapter 15. Diaphragm Disfunction and Weaning.- Chapter 16. Airway Clearance Techniques and Weaning.- Chapter 17. Inspiratory Muscle Training for Weaning.- Chapter 18. Weaning from Mechanical Ventilation in Patients with COVID-19.- Chapter 19. Tracheostomy and Weaning.- Chapter 20. Automated Weaning.- Chapter 21. Nutrition and Weaning.- Chapter 22. Sleep Disorders, Delirium and Weaning.- Chapter 23. Chronically Critically Ill Patients on Prolongued Mechanical Ventilation and Unweanable Patients.- Chapter 24. Compassonate Extubation.

Antuani Rafael Baptistella 

Physiotherapist at the Intensive Care Units of Hospital Universitário Santa Terezinha (HUST) and Hospital Unimed Meio-Oeste, Joaçaba, Brazil.

Specialist in Intensive Care by the Brazilian Association of Respiratory, Cardiovascular and Critical Care Physiotherapy (ASSOBRAFIR) and the Federal Council of Physiotherapy and Occupational Therapy (COFFITO).

PhD from Fundação Antônio Prudente - AC Camargo Cancer Center.

Permanent Professor of the Postgraduate Program in Biosciences and Health, Universidade do Oeste de Santa Catarina, Unoesc, Joaçaba, Brazil.

Daniel Lago Borges 

Physiotherapist at the Adult Intensive Care Unit of Hospital Universitário of Maranhão Federal University (HUUFMA), São Luis, Maranhão, Brazil.

Specialist in Respiratory and Intensive Care Physiotherapy by the Brazilian Association of Respiratory, Cardiovascular and Critical Care Physiotherapy (ASSOBRAFIR) and the Federal Council of Physiotherapy and Occupational Therapy (COFFITO).

PhD from Universidade do Estado do Rio de Janeiro.

Luis Felipe Fonseca Reis 

Lieutenant Colonel Physiotherapist and Coordinator of the ICU of the Central Hospital of the Military Police of the State of Rio de Janeiro.

Intensive Care Physiotherapist at the ICU of the Gafrée Guinle University Hospital of the Federal University of the State of Rio de Janeiro (HUGG-UNIRio).

Specialist in Respiratory and Intensive Care Physiotherapy by the Brazilian Association of Respiratory, Cardiovascular and Critical Care Physiotherapy (ASSOBRAFIR) and the Federal Council of Physiotherapy and Occupational Therapy (COFFITO).

PhD from Federal University of Rio de Janeiro (UFRJ).

Permanent Professor of the Postgraduate Program in Rehabilitation Sciences Augusto Motta University Center (PPGCR-UNISUAM).